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Electronic Health Record Portals adoption: Empirical model based on UTAUT2.

Jorge Tavares¹, Amélia Goulão¹, Tiago Oliveira¹

¹a Nova IMS, Universidade Nova de Lisboa, Lisboa , Portugal.

Informatics for Health & Social Care

|October 17, 2017

Summary

Patient adoption of Electronic Health Record (EHR) portals is driven by performance, effort, social influence, and habit. Habit and behavioral intention significantly influence technology use, impacting patient engagement with EHR portals.

Keywords:

UTAUT2 e-health electronic health records healthcare consumers technology adoption

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Area of Science:

Health Informatics
Information Technology Adoption
Patient Engagement Technologies

Background:

Healthcare is shifting towards citizen-centered models, with increasing government promotion of online services like Electronic Health Record (EHR) portals.
Understanding patient adoption of EHR portals is crucial for successful implementation and utilization.
Informed and active patients are key drivers in the evolving healthcare landscape.

Purpose of the Study:

To identify the key factors influencing individuals' adoption and use of Electronic Health Record (EHR) portals.
To understand patient perspectives on adopting digital health tools.
To provide insights for enhancing EHR portal design and promotion.

Main Methods:

The study employed the extended Unified Theory of Acceptance and Use of Technology (UTAUT2) model.
Data was collected via an online questionnaire distributed to patients.
A total of 386 valid responses were analyzed to assess the model's predictive power.

Main Results:

Performance expectancy, effort expectancy, social influence, and habit were significant predictors of behavioral intention to use EHR portals.
Habit and behavioral intention were significant predictors of actual technology use.
The proposed model explained 52% of the variance in behavioral intention and 31% in technology use.

Conclusions:

The study successfully identified key determinants of EHR portal adoption among patients.
Understanding patient values and motivations is essential for increasing EHR portal uptake.
Findings can inform strategies to improve patient engagement with digital health technologies.